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Butterfly-Shaped Macular Dystrophy in Four Generations
Jay G. Prensky, MD;
George H. Bresnick, MD
Arch Ophthalmol. 1983;101(8):1198-1203.
Abstract
• Four generations in a family were affected by butterfly-shaped macular dystrophy. Affected members ranged in age from 8 to 77 years. In addition to the primary features of autosomal dominant inheritance, bilateral symmetrical pigmented macular lesion, and a low electrooculographic light peak-dark trough ratio, we discovered additional progressive changes: peripapillary and parafoveal chorioretinal atrophy, enlarged blind spots, and paracentral scotomas with diminished visual acuity late. Because of the progressive change in the ophthalmologic appearance of the fundus, the diagnosis could easily be overlooked in advanced cases.
Author Affiliations
From the Department of Ophthalmology, University of Wisconsin Medical School, Madison.
Footnotes
Accepted for publication June 29, 1982.
Read in part at the Retina Society Annual Meeting, San Francisco, Sept 19, 1981.
Reprint requests to Department of Ophthalmology, Box F4/3, University of Wisconsin Center for Health Sciences, 600 Highland Ave, Madison, WI 53792 (Dr Bresnick).
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